The Fiscal Impact of Medicaid Mandates on Michigan

Unfunded mandates forced on state governments by Congress pose a substantial challenge to both their budgets and their fiscal sovereignty. Nearly one-third of the growth in Michigan state government revenue for 1993 was consumed by the cost of federal Medicaid mandates alone. The authors' recommendations include the creation of a mandate ombudsman and database, requirements that Congress determine the cost of mandates before passing them, and a call for Michigan's federal representatives to appear before the state legislature to explain their positions on mandate issues. 17 pages.